<!DOCTYPE html>
<html>
<body>

<form action="/CGI/test_cgi" method="post" accept-charset="utf-8">
<fieldset>
<legend>Personal information:</legend>
    x:<br>
        <input type="text" name="x" value="0">
    <br>
    y:<br>
        <input type="text" name="y" value="1">
    <br><br>
<input type="submit" value="Submit">
</fieldset>
</form>

</body>
</html>